2024-11-07T13:21:10-06:00 2023-12-31 990 2023-01-01 237383042 HENRY FORD HEALTH SYSTEM FOUNDATION HENR 3138768704 ONE FORD PLACE - 5F DETROIT MI 48202 ROBIN DAMSCHRODER EVP FINANCE/CFO 3138768714 2024-11-07 0 2023 2024-10-15 13:58:12Z ROBIN DAMSCHRODER ONE FORD PLACE - 5F DETROIT MI 48202 125490264 0 X N/A X 1974 MI TO IMPROVE LIFE BY SUPPORTING EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. 37 31 0 0 0 0 0 0 0 0 31976320 12269263 33787 705045 32010107 12974308 17127030 19100000 0 0 0 0 0 0 0 539171 484621 17666201 19584621 14343906 -6610313 346675824 369494743 17100000 19100000 329575824 350394743 X THE HENRY FORD HEALTH SYSTEM FOUNDATION (THE FOUNDATION) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH" ) SERVING THE METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, THE FOUNDATION EXISTS TO ADVANCE THE GOALS AND MISSION OF HF HEALTH AND TO IMPROVE THE QUALITY OF HUMAN LIFE THROUGH ITS SUPPORT OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THE ORGANIZATION PROVIDES FINANCING TO VARIOUS RESEARCH AND OTHER INITIATIVES OF HF HEALTH. 0 0 19584621 19100000 11507261 THE FOUNDATION'S PURPOSE IS TO MANAGE AN ENDOWMENT FUND AND BASED ON THE RESULTS OF HF HEALTH NEEDS ANALYSIS, PROVIDE FUNDING TO VARIOUS RESEARCH AND OTHER INITIATIVES OF HF HEALTH AND ITS AFFILIATES. 19584621 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 37 31 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X ROBIN DAMSCHRODER 3138768714 ONE FORD PLACE DETROIT MI 48202 LYNN FORD ALANDT TRUSTEE 1.00 4.00 X 0 0 0 MICHAEL E BERGER TRUSTEE 1.00 0.00 X 0 0 0 ROBERT C BOBB TRUSTEE 1.00 0.00 X 0 0 0 RONNIE J BOJI TRUSTEE 1.00 0.00 X 0 0 0 IAN BURNSTEIN TRUSTEE 1.00 0.00 X 0 0 0 PETER D CUMMINGS TRUSTEE 1.00 0.00 X 0 0 0 POMPILIO E D'AGOSTINI TRUSTEE 1.00 0.00 X 0 0 0 GRETCHEN GONZALES DAVIDSON TRUSTEE 1.00 0.00 X 0 0 0 ALLEN H DEMCHIK TRUSTEE 1.00 0.00 X 0 0 0 TIFFANY SLEMMONS DOUGLAS TRUSTEE 1.00 0.00 X 0 0 0 WALTER E DOUGLAS TRUSTEE 1.00 0.00 X 0 0 0 SHARI E FINSILVER TRUSTEE 1.00 0.00 X 0 0 0 ALFRED J FISHER III TRUSTEE 1.00 0.00 X 0 0 0 CALVIN R FORD TRUSTEE 1.00 0.00 X 0 0 0 CHARLOTTE A FORD TRUSTEE 1.00 0.00 X 0 0 0 BENSON FORD JR TRUSTEE 1.00 0.00 X 0 0 0 KENNETH A FRUEHAUF TRUSTEE 1.00 0.00 X 0 0 0 VONDA R GRANT TRUSTEE 1.00 0.00 X 0 0 0 LINDA HAYMAN TRUSTEE 1.00 0.00 X 0 0 0 DAVID M HEMPSTEAD TRUSTEE 1.00 4.00 X 0 15000 0 STEVEN N KALKANIS MD PHYSICIAN TRUSTEE 1.00 61.00 X 0 2075030 334579 DAVID P LARSEN TRUSTEE 1.00 0.00 X 0 0 0 FREDERICK LAVERY JR TRUSTEE 1.00 0.00 X 0 0 0 HENRY W LIM MD PHYSICIAN TRUSTEE 1.00 60.00 X 0 573670 54568 MANU K MALHOTRAMD PHYSICIAN TRUSTEE 1.00 60.00 X 0 709744 57867 NIKOLAOS MOSCHOURIS TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM W O'NEILLMD PHYSICIAN TRUSTEE 1.00 60.00 X 0 2032552 53823 VIVIAN ROGERS PICKARD TRUSTEE 1.00 0.00 X 0 0 0 SANDRA E PIERCE TRUSTEE - CHAIR 2.00 0.00 X X 0 0 0 LEROY C RICHIE TRUSTEE 1.00 0.00 X 0 0 0 ROBERT G RINEY TRUSTEE/ PRESIDENT/CEO 2.00 63.00 X X 0 4467923 57039 KYLE ANNE SASENA TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY TAMAROFF TRUSTEE 1.00 0.00 X 0 0 0 MARY JANE VOGT TRUSTEE 1.00 60.00 X 0 705971 105311 GWEN S WEINER TRUSTEE 1.00 0.00 X 0 0 0 KATHLEEN J WHELAN TRUSTEE 1.00 0.00 X 0 0 0 TODD A WYETT TRUSTEE 1.00 0.00 X 0 0 0 ROBIN S DAMSCHRODER TREASURER 2.00 63.00 X 0 2407031 61913 MARJORIE A STATEN JD SECRETARY (START 9/2023) 2.00 63.00 X 0 223236 14695 MICHELLE JOHNSON TIDJANI ESQ SECRETARY (THRU 9/2023) 2.00 63.00 X 0 1567789 47822 WILLIAM A CONWAY MD FORMER PHYSICIAN TRUSTEE 0.00 40.00 X 0 167405 34375 TAMER A GHANEM MD FORMER PHYSICIAN TRUSTEE 0.00 60.00 X 0 295897 36028 CELESTE WILLIAMS MD FORMER PHYSICIAN TRUSTEE 0.00 60.00 X 0 466416 32550 0 15707664 890570 0 1 1 0 0 762002 762002 124023217 112515956 11507261 11507261 11507261 ROYALTY INCOME 523000 705045 705045 705045 12974308 11507261 0 1467047 19100000 19100000 INVESTMENT FEES 484621 484621 19584621 19584621 0 0 1671581 2456434 264054480 273678145 80949763 93360164 346675824 369494743 17100000 19100000 17100000 19100000 X 329575824 350394743 329575824 350394743 346675824 369494743 -6610313 27429232 0 X X 0 1 X 1 0 X X 1 HENRY FORD HEALTH SYSTEM 381357020 3 1 19100000 0 1 19100000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 OTHER SECURITIES 44146952 F HFHS MALPRACTICE 481549 F VENTURE CAPITAL, PARTNER 48731663 F 93360164 X PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022 1 HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 501(C)(3) 19100000 0 RESEARCH FUNDING TO HENRY FORD HEALTH SYSTEM X X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 ROBERT G RINEY TRUSTEE/ PRESIDENT/CEO 0 2165620 0 1535761 0 766542 0 27441 0 29598 0 4524962 0 0 ROBIN S DAMSCHRODER TREASURER 0 1396213 0 563406 0 447412 0 27441 0 34472 0 2468944 0 0 STEVEN N KALKANIS MD PHYSICIAN TRUSTEE 0 1228969 0 605154 0 240907 0 302685 0 31894 0 2409609 0 191173 WILLIAM W O'NEILLMD PHYSICIAN TRUSTEE 0 1750977 0 250000 0 31575 0 27441 0 26382 0 2086375 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY (THRU 9/2023) 0 911978 0 367252 0 288559 0 22491 0 25331 0 1615611 0 0 MARY JANE VOGT TRUSTEE 0 539631 0 164018 0 2322 0 93558 0 11753 0 811282 0 0 MANU K MALHOTRAMD PHYSICIAN TRUSTEE 0 428954 0 118206 0 162584 0 27441 0 30426 0 767611 0 0 HENRY W LIM MD PHYSICIAN TRUSTEE 0 554872 0 0 0 18798 0 27441 0 27127 0 628238 0 0 CELESTE WILLIAMS MD FORMER PHYSICIAN TRUSTEE 0 410799 0 25368 0 30249 0 27441 0 5109 0 498966 0 0 TAMER A GHANEM MD FORMER PHYSICIAN TRUSTEE 0 231392 0 20905 0 43600 0 16109 0 19919 0 331925 0 0 MARJORIE A STATEN JD SECRETARY (START 9/2023) 0 187185 0 33653 0 2398 0 2866 0 11829 0 237931 0 0 WILLIAM A CONWAY MD FORMER PHYSICIAN TRUSTEE 0 167405 0 0 0 0 0 11691 0 22684 0 201780 0 0 PART I, LINE 1A IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY, NO TAXABLE INCOME IS REPORTED. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP RECEIVE MEMBERSHIP TO SOCIAL CLUBS INTENDED TO FURTHER THE BUSINESS NEEDS OF THE ORGANIZATION. USAGE IS REIMBURSED ON A CASE-BY-CASE BASIS BASED UPON DOCUMENTATION OF BUSINESS PURPOSE. IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS, THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. PART I, LINE 4B SCH J, LINE 4B, PERSON PARTICIPATING IN HFHS NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) VALUE OF TAXABLE NON TAXABLE REPORTABLE 2023 ACCRUAL NON VESTED DISTRIBUTIONS DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT MICHELLE JOHNSON TIDJANI 220,161 - - - 220,161 STEVEN KALKANIS, M.D. 191,173 275,244 - - 191,173 ROBIN DAMSCHRODER 370,240 - - - 370,240 ROBERT RINEY 736,518 - - - 736,518 MARY JANE VOGT - 66,117 - - - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTRIBUTIONS 2023 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS HENRY W. LIM, M.D. - 13,561 326 13,887 TAMER A. GHANEM, M.D. 12,350 - - 12,350 ROBIN DAMSCHRODER 22,500 - - 22,500 CELESTE THOMAS WILLIAMS 16,450 6,050 146 22,646 STEVEN KALKANIS, M.D. 22,500 - - 22,500 MICHELLE JOHNSON TIDJANI 19,904 - - 19,904 WILLIAM O'NEIL, M.D. - 22,500 541 23,041 MANU MALHOTRA, M.D. - 5,162 124 5,286 ROBERT RINEY 22,500 - - 22,500 FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP AMONGST BOARD MEMBERS: LYNN FORD ALANDT, CHARLOTTE A. FORD, CALVIN R. FORD AND BENSON FORD JR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A TAX EXEMPT MEMBERSHIP CORPORATION AND THE SOLE MEMBER OF THE ORGANIZATION IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF THE ORGANIZATION, HF HEALTH HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS. FORM 990, PART VI, SECTION A, LINE 7B BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") AND THE TAX DEPARTMENT OF HF HEALTH PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HF HEALTH SENIOR VICE PRESIDENT, FINANCIAL OPERATIONS AND CHIEF FINANCIAL OFFICER, - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE HF HEALTH COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. - REVIEW OF THE RETURN WITH THE HF HEALTH AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AND CEO - PROVIDE A COPY OF THE RETURN TO THE HF HEALTH BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HF HEALTH HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HF HEALTH CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE HF HEALTH AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HFHS HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. FORM 990, PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH. FORM 990, PART XII - LINE 2C HENRY FORD FOUNDATION (FUND) IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH. THE GOVERNING BODY OF HF HEALTH HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (PARENT OF OUR CONTROLLED GROUP OF WHICH THE ORGANIZATION IS A MEMBER). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HF HEALTH PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY, 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED. HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 N/A 0 HENRY FORD WYANDOTTE HOSPITAL 2333 BIDDLE AVE WYANDOTTE MI 48192 382791823 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HEALTH ALLIANCE PLAN 3031 W GRAND BLVD DETROIT MI 48202 382242827 HEALTH MAINTENANCE ORGANIZATION MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 HFII CORPORATION ONE FORD PLACE DETROIT MI 48202 900840304 SCIENTIFIC RESEARCH MI 501(C)(3) LINE 7 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES ONE FORD PLACE DETROIT MI 48202 464064067 ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 HENRY FORD MACOMB HOSPITAL CORPORATION ONE FORD PLACE DETROIT MI 48192 382947657 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD ALLEGIANCE HEALTH GROUP 205 N EAST AVENUE JACKSON MI 49201 382756428 EXEMPT ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 ALLEGIANCE HEALTH FOUNDATION 205 N EAST AVENUE JACKSON MI 49201 383607833 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD ALLEGIANCE HEALTH GROUP 1 HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE 205 N EAST AVENUE JACKSON MI 49201 382336367 HOSPICE MI 501(C)(3) LINE 7 HEALTHLINK 1 HEALTHLINK 205 N EAST AVENUE JACKSON MI 49201 382756425 HOME HEALTH CARE MI 501(C)(3) LINE 12A, I HENRY FORD ALLEGIANCE HEALTH GROUP 1 CARELINK OF JACKSON 110 NORTH ELM AVENUE JACKSON MI 49202 381218485 LONG TERM ACUTE HOSPITAL MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 1 WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL 205 N EAST AVENUE JACKSON MI 48201 382027689 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 1 THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND 3031 WEST GRAND BOULEVARD NO 800 DETROIT MI 48202 382682321 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 HENRY FORD PHYSICIAN PARTNERS ONE FORD PLACE DETROIT MI 48202 871633901 PHYSICIAN SERVICES MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH PARENT ONE FORD PLACE DETROIT MI 48202 934079536 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 NORTHWEST DETROIT DIALYSIS 30100 TELEGRAPH BINGHAM FARMS MI 48025 383232668 OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM N/A 0 0 MACOMB REGIONAL DIALYSIS CENTERS 16151 NINETEEN MILE RD CLINTON TOWNSHIP MI 48038 260423581 OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM N/A 0 0 FOOTE HEALTH CENTER ASSOCIATES 1100 E MICHIGAN AVENUE JACKSON MI 49201 383017711 LESSOR OF MEDICAL CONDOMINIUM MI HENRY FORD HEALTH JACKSON HOSPITAL N/A 0 0 HFHS-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 465291602 OUTPATIENT SURGERY CLINICS MI HENRY FORD HEALTH SYSTEM N/A 0 0 HAP EMPOWERED HOLDING LLC 3031 W GRAND BLVD DETROIT MI 48202 922877012 HOLDING COMPANY DE HEALTH ALLIANCE PLAN OF MICHIGAN N/A 0 0 SHA REALTY INC ONE FORD PLACE DETROIT MI 48202 381378121 REAL ESTATE HOLDING MI HENRY FORD HEALTH SYSTEM C 1 FAIRLANE HEALTH SERVICES 30100 TELEGRAPH BINGHAM FARMS MI 48025 382565235 HEALTHCARE MANAGEMENT MI HENRY FORD HEALTH SYSTEM C 1 ALLIANCE HEALTH AND LIFE INSURANCE 3031 W GRAND BLVD DETROIT MI 48202 383291563 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN C 1 ONIKA INSURANCE LTD FIRST CARRIBEAN HOUSE GRAND CAYMAN CAYMAN ISLANDS CJ CAPTIVE INSURANCE CJ HENRY FORD HEALTH SYSTEM C 1 HENRY FORD PHYSICIAN NETWORK ONE FORD PLACE DETROIT MI 48202 320306774 PHYSICIAN NETWORK MI HENRY FORD HEALTH SYSTEM C 1 ADMINISTRATION SYSTEMS RESEARCH CORPORATION 3031 W GRAND BLVD DETROIT MI 48202 382651185 THIRD PARTY INSURANCE ADMINISTRATOR MI HEALTH ALLIANCE PLAN C 1 HAP CARESOURCE 3031 W GRAND BLVD DETROIT MI 48202 383123777 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN OF MICHIGAN C 1 HENRY FORD ALLEGIANCE PHARMACY 205 N EAST AVENUE JACKSON MI 49201 383370242 PHARMACY MI HENRY FORD ALLEGIANCE HEALTH GROUP C 1 HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION 1150 ELIJAH MCCOY DR DETROIT MI 48202 852144748 CONDOMINIUM ASSOCIATION MI HENRY FORD HEALTH SYSTEM S 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HENRY FORD HEALTH SYSTEM B 19100000 CASH VALUE SCHEDULE R, PART V, LINE 1D & 1E: THE ORGANIZATION, AS A DESIGNATED AFFILIATE, IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM CREDIT GROUP. MEMBERS OF THE CREDIT GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016, 2019 AND 2022 HFHS BOND MASTER INDENTURES.